NPI | 1649568163 |
---|---|
Former Name | TRUDY HELENA JANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00002609) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1369) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2011-07-18 |